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Epidemiological features of strongyloides infection in Okinawa, Japan: Comparative study with other endemic areas. 日本冲绳地区蛲虫感染的流行病学特征:与其他流行地区的比较研究。
Pub Date : 2000-03-15 DOI: 10.2149/TMH1973.28.9
J. Kobayashi, Yoshiya Sato, H. Toma, I. Shimabukuro, T. Tasaki, M. Takara, Y. Shiroma
The epidemiological features of Strongyloides stercoralis infection in Okinawa, Japan, were studied by comparing with those in Thailand, Laos and Brazil. The prevalence rates of Strongyloides infection in the present study were 9.6% (133/1, 380) in Okinawa, 47.6% (99/208) in Chiang Mai, Thailand, 23.8% (106/445) in Khammouane, Laos, and 12.0% (32/267) in Maceio, Brazil, respectively. The age inclination in aged subjects and sex dominance in males were significant features of Strongyloides infection in Okinawa, suggesting that new infection from the environment does not occur in present-day Okinawa. The epidemiological feature was considered to provide a favorable field to investigate therapeutic efficacy unaffected by reinfection from environment after treatment. Absence of helminth infection other than Strongyloides was an additional feature in Okinawa. The features may also be convenient to study host response and pathogenicity in the Strongyloides infection unaffected by concurrent infection with other helminths.
通过与泰国、老挝和巴西的比较,研究了日本冲绳地区粪类圆线虫感染的流行病学特征。冲绳、泰国清迈、老挝哈穆内和巴西马塞约地区的类圆线虫感染率分别为9.6%(133/ 1,380)、47.6%(99/208)、23.8%(106/445)和12.0%(32/267)。老年受试者的年龄倾向和男性的性别优势是冲绳县类圆线虫感染的显著特征,提示当前冲绳县未发生来自环境的新感染。认为流行病学特征为研究治疗后不受环境再感染影响的治疗效果提供了有利的领域。除类圆线虫外,没有其他蠕虫感染是冲绳的另一个特点。这些特征也可以方便地研究不受其他蠕虫同时感染的圆线虫感染的宿主反应和致病性。
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引用次数: 5
SIMPOSIUM IV “CROSS-FIRE : TROPICAL MEDICINE VS. INTERNATIONAL HEALTH” 第四次专题讨论会"交火:热带医学与国际卫生"
Pub Date : 2000-03-15 DOI: 10.2149/TMH1973.28.46
T. Shimao, I. Tada, T. Kurata, Yasuhide Nakamura, Hiroshi Takahashi, Taro Yamamoto, Y. Takayama, Mari Mugitani, Takebumi Furuhata, N. Ishikawa, Naoki Furuta
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引用次数: 0
PREVALENCE OF INTESTINAL PARASITE INFECTION IN TOUL ROKA VILLAGE, PHNOM PENH MUNICIPALITY CAMBODIA 柬埔寨金边市toul roka村肠道寄生虫感染流行情况
Pub Date : 1999-12-15 DOI: 10.2149/TMH1973.27.517
J. Kobayashi, Kunihiko Chinen, Sim Samidt, K. Higa, M. Chinen, Yoshiya Sato, C. Yoshida
Intestinal parasitic infection is a serious public health problem among the inhabitants in developing countries located in tropical areas. Control activities of parasitic diseases are not only an important health improvement problem in a given area but also an entry point for effective public health care activities because of its serious prevalence among inhabitants and its nature as an environment-derived disease (Fereydoun, 1984) . Also, intestinal helminthiasis can be easily diagnosed with fecal samples and are treatable by oral administration of anthelmintics; it can be performed intensively as an ordinary public health care activity. Additionally, intestinal parasitic infection occurs closely relating to the environmental sanitary condition; parasite control program may relate directly to the education for improvement of sanitary condition. Exact survey on the prevalence of intestinal parasite infection may also be important to know health status of the inhabitants in a given area. Due to the civil war for a long period in Cambodia, the information on the recent prevalence of intestinal parasites is extremely few. In the country, Cambodia-Okinawa Friendship Association (COFA) , founded in 1992 as a non-government organization (NGO) in Okinawa, has established a clinic in a village, Toul Roka Village, to contribute to health care of the villagers and started a parasite control program since 1998. The present study was undertaken to obtain basic information on the recent prevalence of intestinal parasitic infection among the inhabitants in the village. Although the village is located in suburban area of Phnom Penh Municipality, the general socio-economic and sanitary conditions were consistently poor in the village. A total of 457 villagers live in 61 households in the village. The survey was conducted by stool examination in December, 1998. For stool examination, the authors visited all households to explain the purpose of the survey and delivered stool containers to all families. After delivering the containers, stool samples were collected and examined both by Kato-Katz thick smear method (Kato and Miura, 1954) and formalin-ether concentration method (Ritchie, 1948) . Their life habits were also surveyed by the interview to the representative adults of each family. In the present preliminary study, stool samples from 113 villagers, accounting for 24.7% of the population subjected, were collected randomly for examination. Table 1 represents the results of the stool examinations. A total of 7 helminth and 9 protozoan species were diagnosed in 80.5% of the villagers examined. Sixtyseven samples (59.3%) were found harboring one or more helminth infections. Among the helminth species, Ascaris lumbricoides was the commonest parasite, showing 48.7% of prevalence rate. Hookworm infection was also demonstrated in 15.9% of the villagers. On the other hand, Trichuris trichiura infection was rare among the villagers, although their infection mode is al
肠道寄生虫感染是热带地区发展中国家居民的一个严重公共卫生问题。寄生虫病的控制活动不仅是一个重要的改善某一地区健康的问题,而且也是有效的公共保健活动的切入点,因为寄生虫病在居民中流行严重,而且它是一种源自环境的疾病(fereydown, 1984年)。此外,肠道蛔虫病可以通过粪便样本很容易地诊断出来,并可通过口服驱虫药治疗;它可以作为一项普通的公共卫生保健活动集中进行。此外,肠道寄生虫感染的发生与环境卫生状况密切相关;寄生虫控制计划可能直接关系到改善卫生条件的教育。对肠道寄生虫感染流行率的准确调查对于了解特定地区居民的健康状况也很重要。由于柬埔寨长期内战,有关近期肠道寄生虫流行情况的资料极少。在该国,1992年成立的柬埔寨-冲绳友好协会(COFA)是冲绳的一个非政府组织,在Toul Roka村建立了一个诊所,为村民的医疗保健作出贡献,并自1998年以来启动了寄生虫控制方案。进行这项研究是为了获得该村居民肠道寄生虫感染最近流行情况的基本资料。虽然该村位于金边市郊区,但该村的一般社会经济和卫生条件一直很差。村里61户,共有457名村民。调查在一九九八年十二月以粪便检查的方式进行。对于粪便检查,作者走访所有家庭,解释调查目的,并向所有家庭分发粪便容器。运送容器后,收集粪便样本,并采用Kato- katz厚涂片法(Kato和Miura, 1954)和福尔马林醚浓度法(Ritchie, 1948)进行检查。通过对每个家庭中具有代表性的成年人的访谈,调查了他们的生活习惯。在本次初步研究中,随机抽取了113名村民的粪便样本进行检测,占受试人口的24.7%。表1为大便检查结果。80.5%的村民检出寄生虫7种,原虫9种。67份样本(59.3%)存在一种或多种寄生虫感染。寄生虫种类中,蚓状蛔虫最常见,患病率为48.7%。15.9%的村民感染钩虫。另一方面,村民中毛滴虫感染较少,但其感染方式与蚓状拟虫基本相同。有趣的是,尽管村民经常食用生鱼,但肝吸虫的感染率仅为3.5%(4例)。以15岁为单位比较各年龄组的流行率,发现较年轻年龄组的蛔虫感染率较高,而15岁以上年龄组的钩虫感染率则相反。原生动物寄生虫方面,61例(54.0%)村民检出原生动物寄生虫9种;最常见的是人芽囊虫,阳性率为37 ~ 43%。溶组织内阿米巴
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引用次数: 1
ANTIFILARIAL EFFECT OF ARTEMISIA NILAGIRICA EXTRACT AND ITS ULTRA HIGH DILUTIONS AGAINST CANINE DIROFILARIASIS 奈拉蒿提取物及其超高稀释度对犬双丝虫病的抗虫作用
Pub Date : 1999-12-15 DOI: 10.2149/TMH1973.27.477
N. Sukul, P. Sarkar, A. Sukul, S. Sinhababu
An ethanolic extract of the flowering meristems of worm wood, Artemisia nilagirica was allowed to evaporate. The residue, thus obtained, was administered orally on 4 pariah dogs naturally infected with Dirofilaria immitis at 10 mg/kg/day for 15 days and then at 20 mg/kg/day for the next 15 days. Two homoeopathic potencies of the A. nilagirica extract, called Cina 200 and Cina 1000, were obtained commercially and administered orally at 0.1 ml/dog/day for 30 days on two separate batches, each consisting of 4 dogs. Blood was sampled from the dogs before treatment and on day 15, 30, 45 and 75 following the treatment. A. nilagirica extract (Cinaθ) was diluted with 90%ethanol1 : 100 and shaken by 10 manual strokes to prepare the 1st potency, called Cina 1. All subsequent potencies were prepared by mixing 1 part of the preceding potency with 99 parts of 90% ethanol and giving the mixture 10 manual strokes. Cinaθ, Cina 200 and Cina 1000 reduced microfilarial densities in treated dogs by 78.38, 63.06 and 71.40%, respectively on day 30. There were 57.13, 42.44 and 64.20% reduction on day 75. No apparent toxic effect was observed in the treated dogs. Electronic spectra of Cinaθ, Cina 200 and Cina 1000 showed comparable absorbance with the latter two giving a blue shift. Cinaθin CCl4 showed a red shift suggesting molecular complexation and charge transfer (CT) interaction between aqueous ethanol and compounds of A. nilagirica. CT was further evidenced by the NMR spectra of the deuterium nuclei of Cinaθin 90% ethanol. NMR spectra of Cinaθ, Cina 200, Cina 1000 and 90% ethanol indicated a change in the solution structure of Cina 200 and Cina1000. This altered solution structure is thought to be responsible for inducing immune reaction of the hosts against the parasite.
一种虫木开花分生组织的乙醇提取物,被允许蒸发。将获得的残余物以10 mg/kg/天的剂量口服4只自然感染了免疫Dirofilaria的流浪狗15天,然后以20 mg/kg/天的剂量口服15天。两种顺势疗法的nilagirica提取物,称为china 200和china 1000,在商业上获得,并以0.1 ml/狗/天的剂量口服,分为两批,每批4只狗。在治疗前和治疗后的第15、30、45和75天采集狗的血样。用90 + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +所有后续效价都是通过将1份前效价与99份90%乙醇混合并给予混合物10次手动涂抹来制备的。第30天,Cinaθ、Cina 200和Cina 1000分别使处理犬微丝虫密度降低78.38%、63.06和71.40%。第75天分别降低57.13%、42.44%和64.20%。未观察到治疗犬的明显毒性作用。Cinaθ, Cina 200和Cina 1000的电子光谱显示出相当的吸光度,后两者具有蓝移。Cinaθin CCl4呈现红移,提示水乙醇与nilagirica化合物之间存在分子络合和电荷转移(CT)相互作用。在90%乙醇中,中国θ氘核的核磁共振谱进一步证实了CT。Cinaθ、Cina 200、Cina1000和90%乙醇的核磁共振光谱表明Cina 200和Cina1000的溶液结构发生了变化。这种改变的溶液结构被认为是导致宿主对寄生虫产生免疫反应的原因。
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引用次数: 13
CLINICAL AND LABORATORY CORRELATES OF THE OUTCOME OF CEREBRAL MALARIA IN THE PHILIPPINES 菲律宾脑型疟疾结果的临床和实验室相关因素
Pub Date : 1999-12-15 DOI: 10.2149/TMH1973.27.487
P. Tongol-Rivera, M. Prudencio, J. Sarol, Felipe Balingit, Elena A. Villacorte, Aldrin Darilag, Mamoru Suzuki, S. Kano
This study describes the socio-demographic profile of cerebral malaria (CM) patients and identifies the clinical and laboratory factors which correlate with mortality from this condition. Records of 97 CM cases admitted at the Davao Regional Hospital, Philippines from 1990 to 1995 were reviewed. Information on socio-demographic factors, clinical signs and symptoms, physical examination and laboratory findings and medicines given during hospitalization were obtained. Associations of these variables with mortality were examined by generating two-way tables for qualitative variables and computing descriptive statistics for quantitative variables. Results showed that CM was more common among males and young adults who comprise the economically productive age group (21-40 years) and who are engaged in slash and burn agriculture. Using bivariate analysis, factors that correlated with mortality included age, residence, back/abdominal pain, fever, coma, dyspnea, diastolic blood pressure (BP), white blood cell (WBC), neutrophil and lymphocyte counts, trophozoite count and quinine infusion. Logistic regression analysis showed that only back/abdominal pain, coma, dyspnea, diastolic BP and trophozoite count remained statistically significant after simultaneously controlling for confounding. These results can contribute to the proper assessment and improvement in the clinical management of CM.
本研究描述了脑疟疾(CM)患者的社会人口特征,并确定了与该病死亡率相关的临床和实验室因素。审查了1990年至1995年在菲律宾达沃地区医院收治的97例慢性脊髓炎病例的记录。获得了有关社会人口因素、临床体征和症状、体格检查和实验室结果以及住院期间服用药物的信息。通过生成定性变量的双向表和计算定量变量的描述性统计来检查这些变量与死亡率的关联。结果表明,CM在经济生产年龄组(21-40岁)从事刀耕火种农业的男性和青壮年中更为常见。通过双变量分析,与死亡率相关的因素包括年龄、居住地、背部/腹部疼痛、发热、昏迷、呼吸困难、舒张压(BP)、白细胞(WBC)、中性粒细胞和淋巴细胞计数、滋养体计数和奎宁输注。Logistic回归分析显示,在同时控制混杂因素后,只有腰/腹痛、昏迷、呼吸困难、舒张压和滋养体计数具有统计学意义。这些结果有助于正确评估和改进CM的临床管理。
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引用次数: 1
A SURVEY ON HELMINTHIC INFECTIONS IN TWO RURAL COMMUNITIES IN NEPAL 尼泊尔两个农村社区寄生虫感染调查
Pub Date : 1999-12-15 DOI: 10.2149/TMH1973.27.511
S. Hamano, Shigeru Kobayashi, T. Ogaki, M. Koga, M. Kawasaki, Kazue Ito, Atsushi Saito, M. Tsuji, S. Tokunaga, Sashi Sharma, G. P. Acharya, T. Kawasaki
This study was carried out to elucidate the prevalence of intestinal helminthic infections in rural communities in Nepal. Of 231 inhabitants randomly sampled in Kotyang and Judigaun, 140 (60.6%) were found to be infected with some soil-transmitted helminths. The highest prevalence was observed in hookworm infection (52.8%), followed by Trichuris trichiura (18.6%) and Ascaris lumbricoides (11.3%) infections. Some inhabitants harboured Vampirolepis nana and liver fluke. The female group aged 60 years old and more showed significantly higher T. trichiura infection rate than the male group with the same age (p<0.05), while no relationship was detected between proportion of T. trichiura infection and age based on logistic regression test (p=0.07). Serum IgE levels of Nepalese were shown to be far higher than common Japanese levels, suggesting the repeated infections with these helminths.
本研究旨在阐明尼泊尔农村社区肠道蠕虫感染的流行情况。在Kotyang和Judigaun随机抽样的231名居民中,发现140人(60.6%)感染了一些土壤传播的蠕虫。其中钩虫感染率最高(52.8%),其次是毛滴虫(18.6%)和类蚓蛔虫(11.3%)。一些居民窝藏了吸血蝇和肝吸虫。60岁及以上女性组的毛虫感染率明显高于同年龄男性组(p<0.05),经logistic回归检验,毛虫感染比例与年龄无相关性(p=0.07)。尼泊尔人的血清IgE水平远远高于普通日本人的水平,表明这些寄生虫的反复感染。
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引用次数: 4
FOUR NEW SPECIES OF BLACK FLIES (DIPTERA: SIMULIIDAE) FROM THAILAND 标题泰国黑蝇四新种(双翅目:黑蝇科)
Pub Date : 1999-12-15 DOI: 10.2149/TMH1973.27.497
H. Takaoka, C. Kuvangkadilok
Four new species of black flies (Diptera : Simuliidae) are described based on reared adult, pupal and/or larval specimens collected from Thailand. Three new species, Simulium chaliowae sp. nov., S. chainarongi sp. nov., and S. triglobus sp. nov., are all assigned in the multistriatum-group of the subgenus Simulium (Simulium), and share the similar shoe-shaped cocoon instead of the usual fenestrate cocoon. S. triglobus is most remarkable by having three spermathecae in female adult. The fourth new species, S. baimaii sp. nov., is placed in the genus Simulium but its subgeneric assignment remains unclear due to lack of adult specimens. This species is distinct from the other known simuliid species in the Oriental Region by having the pupal gill with two filaments directed forward from an inflated stalk on each side.
根据在泰国采集的饲养成虫、蛹和/或幼虫标本,描述了4种新的黑蝇(双翅目:拟蝇科)。3个新种,分别是沙蚕亚属(Simulium chaliowae sp. nov.)、沙蚕亚属(s.chainarongi sp. nov.)和三叶虫亚属(s.triglobus sp. nov.),它们都有相似的鞋状茧,而不是通常的开孔茧。三叶蝉最显著的特征是在雌性成虫体内有三个精子。第4个新种S. baimaii sp. nov.被归为Simulium属,但由于缺乏成虫标本,其亚属归属尚不清楚。本种不同于其他已知的在东方地区的类似物种,其蛹鳃有两根丝,每侧有一个膨胀的柄。
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引用次数: 24
PATHOLOGY AND PATHOPHYSIOLOGY OF MALARIA 疟疾的病理和病理生理学
Pub Date : 1999-12-15 DOI: 10.2149/TMH1973.27.471
S. Kano, M. Aikawa
Pathological processes in malaria are the consequence of the erythrocytic cycle of the parasites. Merozoites invade erythrocytes, in which they develop through early trophozoites (ring forms) to late trophozoites and eventually to schizonts. During this process, development of knobs and cytoadherence or rosetting with the knobs play important roles for the falciparum malaria patient to be severely ill. Expression of variant surface neoantigens stimulates the reticuloendothelial system and can cause anemia, tissue hypoxia and cytokine production. Associated fever, paroxysms, headache and other pains are thought to result from cytokines such as interleukins, interferons and tumor necrosis factor released from macrophages or other cells at the time of schizont rupture. In the present paper, pathological and pathophysiological changes mainly in human falciparum malaria are reviewed, emphasizing the importance of basic research to “roll back” the emerging trends of malaria.
疟疾的病理过程是疟原虫红细胞循环的结果。分裂子侵入红细胞,通过早期滋养体(环状)发展到晚期滋养体,最终分裂体。在这一过程中,旋钮的发育和细胞粘附性或与旋钮的结簇对于恶性疟疾患者病情严重起着重要作用。异型表面新抗原的表达刺激网状内皮系统,可引起贫血、组织缺氧和细胞因子的产生。相关发热、阵发性发作、头痛和其他疼痛被认为是由巨噬细胞或其他细胞在分裂体破裂时释放的白细胞介素、干扰素和肿瘤坏死因子等细胞因子引起的。本文主要综述了人类恶性疟疾的病理和病理生理变化,强调了基础研究对“击退”疟疾新趋势的重要性。
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引用次数: 0
DETECTION OF CIRCULATING WUCHERERIA BANCROFTI ANTIGEN, FILARIA SPECIFIC IGG AND IGG4 IN CHYLURIA CASES IN JAPAN 日本乳糜尿患者外周血白细胞抗原、丝虫病特异性igg和igg4的检测
Pub Date : 1999-12-15 DOI: 10.2149/TMH1973.27.483
M. Itoh, X. Qiu, Y. Koyama, Y. Ogawa, M. Weerasooriya, Hanesana Visanou, Y. Fujimaki, E. Kimura
Serum sarnples from Japanese chyluria patients were examined for filaria specific antibodies and a circulating filarial antigen in order to know if the symptom was filarial in origin. A11 the sera were negative for the circulating antigen. Anti-Brugia pahangi antibodies were detected in 6 out of 16 serum samples by ELISA after absorption of the sera with Anisakis and Dirofilaria immitis antigens. One of the positive sera showed a high titer for anti-B. pahangi lgG4, suggesting that Wuchereria bancrofti adults were surviving in the patient in recent years. Detection of antibodies would be helpful for immunodiagnosis of filarial chyluria in Japan, where filarial origin is often determined based simply on the history of residence in the past endemic areas.
对日本乳糜尿患者的血清样本进行了丝虫病特异性抗体和循环丝虫病抗原检测,以确定该症状是否起源于丝虫病。A11血清循环抗原阴性。用ELISA法对16份血清样品中6份分别检测到异尖丝虫和免疫双丝虫抗原。其中一份阳性血清显示抗b抗体高滴度。pahangi lgG4,表明近年来在患者体内存活了班氏武氏杆菌成虫。抗体检测将有助于日本丝虫病乳糜尿的免疫诊断,在日本,丝虫病的来源通常仅根据过去流行地区的居住历史来确定。
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引用次数: 1
Isolation frequency of enteropathogens from pediatric diarrheal stool in Surabaya, Indonesia: a five year hospital based study. 印度尼西亚泗水儿童腹泻粪便中肠道病原体的分离频率:一项为期五年的医院研究。
Pub Date : 1999-09-15 DOI: 10.2149/TMH1973.27.433
E. Wasito, P. Soeparto, S. Soedarmo, L. Djupri, Lindawati Alimsardjono, Dadik Rahardjo, N. Kataoka, N. Nakasone
In order to increase our knowledge of the epidemiology for our patient population, we retrospectively analyzed the data obtained from stool samples received at Tropical Disease Research Center, Airlangga University during a five year period. Isolation frequency of enteropathogens from diarrheal stools from 1993 to 1997 were examined in Surabaya, Indonesia. A total of 1, 477 hospitalized pediatric patients under 2 years of age with acute diarrhea were enrolled. Bacterial enteropathogens other than Campylobacter jejuni and Clostridium difficile were positive cumulatively in 1, 086 cases out of 1, 477 (73.5%), and the annual isolation frequency ranged from 61.1% to 82.4%. Rotavirus was detected cumulatively in 408 cases out of 1, 184 examined (34.5%), and 210 cases of 408 (51.5%) were co-infected with diarrheagenic Escherichia coli. Generally, diarrheagenic E. coli were dominant isolates (53.8%) while Vibrio cholerae Ol, Aeromonas hydrophila, Salmonella spp. and Shigella spp. were also isolated from the patients with lower frequencies.
为了增加我们对患者人群的流行病学知识,我们回顾性地分析了五年间在Airlangga大学热带病研究中心收到的粪便样本数据。对1993 - 1997年印度尼西亚泗水地区腹泻粪便中肠致病菌的分离频率进行了调查。共有1477名2岁以下急性腹泻住院儿童患者被纳入研究。1477例中,除空肠弯曲杆菌和艰难梭菌外,其余肠致病菌累计检出率为1086例(73.5%),年检出率为61.1% ~ 82.4%。在1184例病例中,累计检出轮状病毒408例(34.5%),其中210例(51.5%)合并感染致泻性大肠杆菌。从患者中分离出致泻性大肠杆菌(53.8%),霍乱弧菌、嗜水气单胞菌、沙门氏菌和志贺氏菌也占多数。
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引用次数: 2
期刊
Japanese Journal of Tropical Medicine and Hygiene
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